“BMTCN FREE TEST EXAM “ NEWEST
UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION)
The impact of stress on social function following transplant is greatest
between:
a - survivor and extended family members.
b - child survivor and parent.
c - survivor and spouse.
d - child survivor and siblings.
c -Research has shown the strongest impact from stress after transplant is between
survivor and spouse.
What is the best initial step in determining the evidence available to support a
current nursing intervention?
a - Review current literature regarding the intervention, identify gaps or
inconsistencies in nursing practice.
b - Evidence is not necessary to guide nursing practice.
c - Ask fellow nurses on the unit what their current practice is.
d - Conduct a research study comparing two different processes to see which
is better.
a - Review current literature regarding the intervention, identify gaps or
inconsistencies in nursing practice.
Answer: Identifying gaps in the literature and inconsistencies in HSCT practices is an
important first step
When providing information to a patient diagnosed with cutaneous chronic
graft versus host disease, the nurse emphasizes:
a - the importance of tapering steroid medications.
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b - the importance of using sunscreen with adequate SPF barrier.
c - that steroid creams are ineffective.
d - there is not an increased risk of infection during treatment.
b - the importance of using sunscreen with adequate SPF barrier.
Sun exposure will exacerbate/activate cutaneous GVHD.
Two years after an HSCT, a patient reports a dry cough, dyspnea, and
wheezing. What does the nurse suspect?
a - Engraftment syndrome
b - Acute graft versus host disease
c - Bronchiolitis obliterans
d - Diffuse alveolar hemorrhage
c - Bronchiolitis obliterans
Bronchiolitis obliterans manifests 3 months to 2 years after transplant and is
characterized by diffuse wheezing
A nurse reflecting on professional practice may consider:
a - side effects of a chemotherapy agent.
b - how to maintain professional boundaries.
c - sharing details of patient care with a mutual friend.
d - the Three Rights of Delegation.
b - how to maintain professional boundaries.
Maintaining professional nurse/patient boundaries is a standard of professional
practice.
Which of the following factors increases the risk of squamous cell carcinoma
following transplant?
a - Underlying diagnosis of Fanconi anemia
b - Previous diagnosis of aGVHD
c - History of non-Hodgkin lymphoma
d - History of acute myelogenous leukemia
a - Underlying diagnosis of Fanconi anemia
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Patients with FA have a predisposition to squamous cell carcinoma following
transplant.
A patient with chronic GVHD who is prescribed steroids needs to be re-
immunized. The nurse knows that the patient can receive immunizations when
the GVHD is resolved and the steroid dose is less than:
a - 20 mg/day.
b - 15 mg/day.
c - 5 mg/day.
d - 10 mg/day.
c - 5 mg/day.
Which of the following factors is associated with primary graft failure?
a - CD34 selected cellular product
b - HLA match with the donor
c - Peripheral blood stem cell graft source
d - Viral infection in the recipient
d - Viral infection in the recipient
Prior to the initiation of treatment for engraftment syndrome, what is a priority
nursing action?
a - Ensure the infectious disease workup is complete
b - Place the patient in protective isolation for 14 days
c - Discontinue filgrastim administration
d - Obtain order for IV fluids
a - Ensure the infectious disease workup is complete
Which of the following is a potential barrier in advanced care planning for
patients who have received an HSCT?
a - Provider discomfort discussing end-of-life issues
b - Length of time required to complete documents
c - Accessibility to a lawyer
d - Difficulty understanding documents
a - Provider discomfort discussing end-of-life issues
Post transplant lymphoproliferative disease (PTLD) is most often associated
with which of the following infections?
a - Aspergillus